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CONCLUSION

ドキュメント内 自治医科大学機関リポジトリ (ページ 102-121)

This study suggested that DAP/VCM cross-resistance in MRSA is associated with mprF mutations. The reduction of DAP and VCM susceptibility is mainly mediated by alteration of CM surface charge through increased L-PG production, while increased CW thickness is marginally involved. We also revealed a novel pathway leading to DAP-nonsusceptibility that is not related to the common genetic determinant mprF. In our study, single DAP-nonsusceptibility is believed to be caused by alterations in cellular metabolisms ensued from lacF mutations, but the exact mechanisms remain to be elucidated.

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